transforming clinical practice initiative presented to · pdf filetransforming clinical...

Transforming Clinical Practice Initiative

Presented to Ahahui o na Kauka (Association of Native Hawaiian Physicians) Board Meeting

Presented by:

HealthCare Dynamics International and the National Rural Accountable Care Consortium PTN

Saturday, February 6, 2016 2:30pm-3:00pm HST/4:30pm-5:00pm PST/6:30pm-7:00pm CST/7:30pm-8:00pm

EST

This webinar is provided free-of-charge and is supported by Grant Number 1L1CMS-331480-01-00 from the U.S. Department of Health & Human

Services, Centers for Medicare & Medicaid Services. The contents provided in this webinar are solely the responsibility of the presenters and do not

necessarily represent the official views of HHS or any of its agencies.

Agenda

• Transforming Clinical Practice Initiative Overview (TCPI)

• Who / What / How of TCPI?

• Support and Alignment Network (SAN)

• HCD International TCPI SAN

• Practice Transformation Network (PTN)

• National Rural Accountable Care Consortium

• Questions and Answers

Transforming Clinical Practice Initiative

The Transforming Clinical Practice Initiative (TCPI) is one of the largest

federal investments uniquely designed to support clinician practices

through nationwide, collaborative, and peer-based learning networks

that facilitate practice transformation.

On September 29, 2015, the Centers for Medicare & Medicaid Services

(CMS) awarded $685 million to 29 national and regional collaborative

healthcare practice transformation networks (PTNs) and 10 Support

and Alignment Networks (SANs) to provide technical assistance

support to help prepare more than 140,000 clinicians with innovative

tools and support needed to improve quality of care, increase patients’

access to information, and spend dollars more wisely.

10 SUPPORT AND ALIGNMENT NETWORKS

• HCD International, Inc.

• American College of Emergency Physicians

• American College of Physicians, Inc.

• American College of Radiology

• American Medical Association

• National Nursing Centers Consortium

• Network for Regional Healthcare Improvement

• Patient Centered Primary Care Foundation

• The American Board of Family Medicine, Inc.

• American Psychiatric Association

29 PRACTICE TRANSFORMATION NETWORKS

• National Rural ACC PTN

• Alabama Physician Alliance

• Care Transition Network

• Colorado Collaborative

• Community Care of North Carolina

• Compass PTN

• Connecticut PTN

• Garden State PTN

• Great Lakes PTN

• Greater New York City PTN

• Health Partners Delmarva

• LA Care PTN

• Mayo Clinic

• Midsouth PTN

• New York State PTN

• Northern New England PTN

• CQC

• PeaceHealth

• Practice Innovation Institute

• COSEHC

• Rhode Island PTN

• Southern New England PTN

• Southwest Pediatric PTN

• Tenet

• WWAMI

• VHA-UHC Alliance (Vizient)

• VHQC

• Washington Pediatric PTN

TCPI Goals

Criteria for TCPI Participation

• All Physicians are eligible: Doctors of Medicine, Doctors of Osteopathy,

Doctors of Podiatric Medicine, Doctors of Optometry, Doctors of Oral

Surgery, Doctors of Dental Medicine, and Doctors of Chiropractic.

• All Practitioners are eligible: Physician Assistants, Nurse Practitioners,

Clinical Nurse Specialists, Certified Registered Nurse Anesthetists, and

Anesthesiologist Assistants, Certified Nurse Midwives, Clinical Social

Workers, Clinical Psychologists, Registered Dieticians, Nutrition

Professionals, Audiologists

• Advanced Practice Registered Nurses or APRNs.

• All Therapists are eligible: Physical Therapists, Occupational Therapists,

and Qualified Speech-Language Therapists.

Criteria for TCPI Participation

o Participate in Physician Quality Reporting System (PQRS)

Note: To participate in TCPI, physicians and clinicians should be on the PQRS list

of eligible participants. If a clinician is not currently enrolled in PQRS, the HCDI

TCPI SAN can assist in facilitating enrollment.

o If you participate in the Medicare Shared Savings Program, Pioneer ACOs,

Comprehensive Primary Care Initiative or Multi-Payer Advanced Primary

Care Practice, you cannot participate in the TCPI.

HCDI TCPI SAN Strategic Partners

National Council of Asian Pacific Islander Physicians

National Hispanic Medical Association

National Medical Association

National Minority Quality Forum

Together, we are the HCDI Support Alignment Network (SAN) committed to

ensuring that clinicians- especially those who serve vulnerable populations,

receive TCPI training.

HCDI SAN Enrollment Model

Why a Transformed Clinical Practice is Critical

• Minority populations experience approximately 30 to 40 percent poorer

health outcomes than white Americans. This disparity leads not only to

shortened lives and increased illness, but also costs the nation more than

$60 billion in lost productivity each year.

• Minority physicians are often delayed in the adoption of comprehensive use

of electronic health records to measure, track and design interventions

specific to the individual needs of our patients.

• Conceptualization, development and implementation of national physician

practice transformation initiatives sorely lacks necessary diversity to create

a safe, equitable, and efficient health system for all Americans, especially

minority populations.

Preparing for the New Payment System

Message here is by 2018, alternative payment models (APMs, including shared savings, bundled payment, patient-centered medical homes, etc.) in Medicare and Medicaid will dominate the market. TCPI is a focused free government resource to assist physician practices make this transformation.

Clinician Benefits to Joining the TCPI

By enrolling in the TCPI, clinicians will:

• Receive FREE training, customized technical assistance, educational

materials and peer coaching on clinical practice transformation

• Receive a practice transformation readiness survey

• Receive FREE training on the collection and use of data, stratified by race,

ethnicity and language

• Learn how to effectively engage patients and families in care planning

• Receive performance measurements for diabetes outcomes, when

necessary

• Receive FREE sensitivity training on cultural and linguistic delivery of care,

when requested

Risk of Non-Participation

• Lost opportunity for ‘no cost’ technical assistance for practice

enhancements

• Risk of decreased reimbursement under the new payment system

• Reactionary posture resulting from delayed preparation for the new

payment system

• Patients denied access to new innovations in care coordination, physician

support services and strategies to increase access to better care

Proprietary & Confidential, Not for Distribution

www.NationalRuralConsortium.org

Practice Transformation

Network (PTN)

The project described was supported by Funding Opportunity Number CMS-1L1-15-003 from the

U.S. Department of Health & Human Services, Centers for Medicare & Medicaid Services. Its

contents are solely the responsibility of the authors and do not necessarily represent the official

views of HHS or its agencies.

Proprietary & Confidential, Not for Distribution

www.NationalRuralConsortium.org

Today’s Objectives

16

• Provide overview of Practice Transformation

Network Tools and Resources

• Identify Actions for Success

• Review 2016 Program Schedule

Proprietary & Confidential, Not for Distribution

www.NationalRuralConsortium.org

17

Members Only: PTN Information Page

Action for Success: Log onto the PTN web page regularly.

http://www.NationalRuralACO.com/proprietary/ptn-participant-

resources.shtml

Proprietary & Confidential, Not for Distribution

www.NationalRuralConsortium.org

• Purpose is to track your

organization’s progress

• CMS Reporting requirement.

• Conducted onsite by NRACC

Quality Specialist or your state’s

QIO/QIN with your leadership.

• You will be contacted in next 30

days to schedule.

18

PTN Assessment

Action for Success: Complete your PTN Baseline Assessment.

Proprietary & Confidential, Not for Distribution

www.NationalRuralConsortium.org

Action for Success: Review 2016 Program schedule

19

Population Health and Value Based Payment Model: Education and Technical Assistance

Interactive Webinar

Series

Learning

Management

System

Quarterly

Quality

Improvement Workshop*

Annual

Division

Leadership Meeting*

Cohort

Calls

(Optional)

Annual

National

Meeting

Practice

Manager X X X

Care

Coordinator X X X

2 x /

Month

CEO X X X Monthly X

Physician Lead X X X Quarterly X

Others as

relevant X X X

X

Proprietary & Confidential, Not for Distribution

www.NationalRuralConsortium.org

Billable Care Coordination Program

20

• Notify us Name/Contact information of Care

Coordinator at ptn@nationalruralaco.com

• Participate in hands-on Regional Workshop for

three of your staff in April. Refer to 2016 Program

Schedule to identify your location and training date.

• Certify your coordinators by July. Clinical Health

Coach Training program is offered by the Iowa

Chronic Care Consortium. It is a 26 hours on-line

and self-paced program.

Action for Success: Designate a Care Coordinator by 3/20/2016

Proprietary & Confidential, Not for Distribution

www.NationalRuralConsortium.org

Lightbeam Data Support

21

• Notify us Name/Contact information of IT staff

at ptn@nationalruralaco.com

• Lightbeam training in February.

• Lightbeam installation by July 2016.

Action for Success: Designate a person to coordinate your IT

interface and share flat file specifications

Proprietary & Confidential, Not for Distribution

www.NationalRuralConsortium.org

NurseWise/Evolve

22

• 24-hour telephonic access to

medical advice for Medicare

patients.

• Necessary for your billable care

coordination program’s after-

hours coverage.

Action for Success: Attend 24hr Nurse Advice Hotline Webinar in Feb.

Action for Success: Complete Nursewise Survey on PTN website in Feb.

Proprietary & Confidential, Not for Distribution

www.NationalRuralConsortium.org

Point-of-Service Patient Satisfaction Survey Tool and Tablet

23

• Each practice eligible to receive

single use tablet for patients to

complete satisfaction survey.

• Tablets will be deployed in May.

Action for Success: Attend April webinar about survey tool and tablet.

Action for Success: Complete Survey posted on PTN webpage.

Proprietary & Confidential, Not for Distribution

www.NationalRuralConsortium.org

Preparing to become a Patient-Centered Medical Home (PCMH)

24

• Lay the foundation to apply for

certification as a PCMH.

• The primary PCMH elements are built

into our program in a Plan, Do, Study,

Act (PDSA) format.

Action for Success: Attend June Webinar about PCMH.

Action for Success: Complete Plan-Do-Study-Act activities.

Proprietary & Confidential, Not for Distribution

www.NationalRuralConsortium.org

Practice Workflow Redesign

25

• Your practice will receive easy-to-

implement workflow tools.

• We will work together to create custom

implementation plan – tailored to your

practice’s needs and challenges

Action for Success: Designate a care coordinator.

Action for Success: Schedule staff to attend one Regional Workshop

per quarter.

Proprietary & Confidential, Not for Distribution

www.NationalRuralConsortium.org

Improved Billing and New/Increased Revenue Streams

26

• Program activities designed to

reduce cost and improve quality.

• Maximize additional population

health payments

• Prevent value-based payment

penalties

• Improve financial stability of local

health systems.

Action for Success: Actively participate in program activities –

PDSAs, Workflows, Trainings, and Workshops.

Proprietary & Confidential, Not for Distribution

www.NationalRuralConsortium.org

TCPI National Portal / PTN Community

27

Action for Success: Stay informed – register in Healthcare

Communities at www.healthcarecommunities.org

Proprietary & Confidential, Not for Distribution

www.nationalruralaco.com

Questions, Comments, Concerns Please Ask…

Executive Director: Monica Bourgeau: mbourgeau@nationalruralaco.com

Regional Vice Presidents :

Northwest Region: Sue Deitz: sdeitz@nationalruralaco.com

Southwest Region: Shannon Calhoun: scalhoun@nationalruralaco.com

Northeast Region: Joann Ort: jort@nationalruralaco.com

Southeast Region: Kathy Whitmire: kwhitmire@nationalruralaco.com

We look forward to working with you!

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Call to Action:

Get on Board Now!

Don’t Miss the TCPI Train!

Thank You!

www.tcpisan.org